CasB_04-11_SFLP Properties LLC

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WiRO for Caswell Bch
Local Government
CWB # 04- 11
Permit Number
MINOR DEVELOPMENT
PERMIT
as authorized by the State of North Carolina, Department of Environment,
and Natural Resources and the Coastal Resources Commission for development
In an area of environment concern pursuant to Section 113A-118 of the
General Statues, "Coastal Area Management"
Issued to SFLP Properties, I.I.C. authorizing development in an Ocean Hazard Area of Environmental Concern
A( ECl at 514Caswell Beach Road. Caswell Beach in Brunswick County as requested in the permittee's
application, dated April 21, 2004. This permit, issued on May 17, 2004, is subject to compliance with the
application and site drawing (where consistent with the permit), all applicable regulations and special
conditions and notes set forth below. Any violation of these terms may subject permittee to a fine,
imprisonment or civil action, or may cause the permit to be null and void.
This permit authorzes the construction of a single family residence at 514 Casivell Beach Roar4 Caswell Beach
(1) All proposed development and associated construction must be done in accordance with the permitte
work plat drawings(s) dated received April 27, 2004.
(2) All construction must conform to the N.C. Building Code requirements and all other local, State an
Federal regulations. Contact the Town of Caswell Beach for applicable local ordinances and FEM
Flood Regulations.
(3) Any change or changes in the plans for development, constructio or land use activities will require
re-evaluation and modification of this permit. O�
Conditions continued on second
h%AY ?-4f)
20p�
C AS "L MQON OF
This permit action may be appealed by the permittee or othe
qualified persons within twenty (20) days of the issuing date. Fro
the date of an appeal, any work conducted under this permit mus
cease until the appeal is resolved.
This permit must be on the project site and accessible to the permi
officer when the project is inspected for compliance.
Any maintenance work or project modification not covered unde
this permit, require further written permit approval.
All work must cease when this permit expires on December 31,
2007.
In issuing this permit it is agreed that this project is consistent wit
the local Land Use Plan and all applicable ordinances.
This permit may not be transferred to another party without th
written approval of the Division of Coastal Management.
Local Permit Official (signature)
CAMA Local Permit Official
Caroline Bellis
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, NC 28405
fee
(Signature quired if sp al conditions above apply to permit)
127 Cardinal Drive Extension, Wilmington, North Carolina 28405-3845
Phone: [phone]Fax: [phone] Internet: http:lidcm2.enr.state.nc.us
An Equal Opportunity \ Affirmative Action Employer- 50 % Recycled 110% Post Consumer Paper

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GENERAL INFORMATION
LAND OWNER
Name
Address
City g !iState Alt Zip 2 a6l Phone 5.30
AUTHORIZED AGENT
City C& X�� State M� Zip 28 65 Phone 7,0 0 79 —,�
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of
the adjacent waterbody?)
DESCRIPTION OF PROJECT (List all proposed construction and land disturbance.)
SIZE OF LOT/PARCEL- / 2 © 99 square feet — s 28 acres
PROPOSED USE: Residential 1�' (Single-family Multi -family _) Commerical/Industrial
Other
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVI-
RONMENTAL CONCERN (AEC): a �J`,r 6 square feet (includes all floors and roof -covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN.
THE COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): 0 sq. fL
(Calculations include the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios,
etc. that _are within the applicable AEC. Attach your calculations with the project drawing.)
Choose the AEC area that applies to your property: \ -
(1) within 75 feet of Normal High NVater for the Estuarine Shoreline AEC
(2) within 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Outstanding.3 ' -
Resource Waters -
(3) within 30 feet of the Public Trust Shoreline AEC
(Contact your Local Permit Officer if you are nor sure which AEC applies to your prope
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a
State Stormwater Management Permit issued by the N.C. Division of Water Quality?
YES NO_X
If yes, list the total built -upon area/impervious surface allowed for your lot or parcel. square feet.

development permit. Asa service the have compiled a list of the kinds of permits that might be required. We suggest you check over the list
with your LPO to determine if any of these apply to your project-. Zoning, Drinking Water Well, Septic Tank (or other sanitarywaste
treatment system), Building, Electrical, Plumbing. Heating and Air Conditioning, Insulation and Enerp, Conservation, FIA Ccrtifiouion,
Sand Dune, Sediment Control, Subdi\ision Approval, ,\Mobile Home Park Approval, Highaay, Connection, and others.
STATEMENT OF OWNERSHIP:
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a
person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person
listed as landowner on this applcarion has a significant interest in the real property described therein. This interest can be
described as: (check one)
X an owner or record title. Title is vested in ,srzP &W%/ &C, see Deed Book S
paged in the B/1Urt/Sl_-Z�t County Registry of Deeds.
_an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in Count.
_if other interest, such as written contract or lease, explain below or use a separate sheet and attach to this application.
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
ACTUAL NOTICE to each of them concerning rry intent to develop this property and to apply for a CAMA permit.
(Name) (Address)
(1)
(2)
(3)
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I acknowledge that the land owner is aware that the proposed development is planned for an_areayvhich may be`stuceptible to
erosion and/or flooding. I acknowledge that the local permit officer has explained -to -me the particular hazard pr#b m1 s; associ-
ated with this lot. This explanation was accompanied by recommendations concerning stabilization and floodproofing tech-
nigucs. -�
PERMISSION TO ENTER ON LAND:
I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit, officer and his agents to
enter on the aforementioned lands in connection with evaluating information relate to this permit application.
This application includes: general information (this form), a site drawing as described on the back of this application, the
ownership statement, the AEC hazard notice where necessary, a check for $100.00 made payable to the locality, and any infor-
mation as may, be provided orally by the applicant. The details of the application as described by these sources are incorporated
without reference in any permit which may be issued. Deviation from these details will constitute a violation of any permit. Any
person developing in an AEC without permit is subject to civil, criminal and administrative action.
Landowner or person authorized to act as his agent for purpose of filing a CAMA permit application.

Square foot calculations for AEC area
House foot print is 42" X 46" including 1" overhang 1932 SgFt
Driveway is 40.3" X 12"
Total House and Driveway Sq. Ft.
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information
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483.6 SgFt
2415.6 SgFt
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AEC HAZARD`NOTICE 3 k `
Project Is In An: _ Ocean Erodible Area t/ High Hazard Flood Area _ Inlet Hazard Area..
Date Lot Was Platted: '.`-14AI-7 .,; '
This notice is intended to make you, the applicant;
of the special, risks and conditions"assocfatec
development in thus ar6,-ivhicht;is;subject to`:i
hazards such as stgrms erosion'andcuiients:,The
the Coastal Resources` Commission,requ�ie.tli.
receive an AEC, Hazard. Notice_ ' aclaowledF
notice in writing before a perrnit for'd'e"velopmept
issued.
The CommissioWsrules onbuildingstandards,oceanfront
setbacks and dunealterationaredesigned to minimizebut
not eliminate, property loss from hazards. By granting
permits,. the Coastal Resources Commission does not
guarantee the safety of the'de`veIopment and assumes no'
liability for future damage to the development "
The best available information, as accepted by the Coastal
Resources Commission, indicates that the annual ocean
erosion rate for the area where your property is located is
z feet per year.
The rate was established by careful analysis of aerial
photographs of the coastline taken over the past 50 years.
Studies also indicate that the shoreline could move as
much as?:70_ feet landward in a major storm.
The flood waters in a major storm are predicted to be about,
6LZE feet deep in this area
Preferred oceanfront protection measures are beach
nourishment and relocation of threatened structures.
Hard erosion control structures such as bulkheads,
seawalls, revetments, groins, jetties and breakwaters are
prohibited. Temporary devices, including sand bags, may
be allowed under certain conditions.
This structure shall be relocated or dismantled within two
years of becoming imminently threatened.
The applicant must acknowledge this information and
requirements by signing this notice in the below space.
Without the proper signature, the application will not be
complete.
S�
Date
SPECIAL: NO
development can still ateekttie'setback"iequirement, the
LPOwill
inform you that YOU maybegin work Itisfmpor-
tant that you check with the LPObefore theppeerrnnuut expires
for official approval to continue the work after the permit
has ired. Generally, if foundation'pilings have been
placed and substantial progress is continuing, permit
renewal may not be necessary. If substantial progress has .
not been made, the t must be renewed and anew
setback line established., It is unlawful to continue work
after permit expiration without this approval.
For more information, contact:
6ZV5"
Local Permit Officer
Address
a'
1 — - ,/ , ,.
�rY1 AJC ZV-
6 L( LN OA1 ✓L
Locality -
Phone
— 777�'%
�J
CE`•,•'ISi ,;; OF
COAST?,! r+;. , .:".DEMENT
Revised 11193

'Gv"e k=. 107 NE Se" SL
Oak I*nd,14C 2e465
Apn112, 2004
1955 Trent Way
South Bend, IN 46614
Dear Stephen & E7'¢aheth VYrne
This letter is to inform you that I have applied for a LAMA permit on properly at 514 Caswell
Beach Drive, Caswell Beach, NC. I have enclosed a copy of the permit apprrc um and a copy
of the drawing of the proposed project
If you have arty Ommlents on the proposed project, please contact
Carorume Belts
CA Pvm Officer
127 Cardinal Dire End.
VOWngton, NC 28405
9103953900
� Sincerely,
Ronnie L Frclder
For. SFLP Properties, LLC
Keith A Wood
POB 540
Greensboro, NC 27401

PickierCMIbaclkig Semicey km 107 NE Se sti
Oak rid, NO zM OS
April 12, 2004
11 O Caswell Ave
Southport, NC 28481
DearMarn P. Rabon:
This letter is to In mr you #rod I have applied for a CAMA penntt on property at 514 Caswell
Beach Drive, Caswell Beach, NC. I have enclosed a copy of the perng application and a copy
of the draft of the proposed pmjecL
ttyoa have any conrrrents on the proposed project, please contact
Caroline Bells
CAMA Pwft Officer
127 Cardinal Drive BQ.
VlfaftVh n, NC28405
9103953900

* * * COMMUNICATION RESULT REPORT ( APR.27.2004 3:50PM ) * * *
P. 1
-ILE MODE OPTION
---------------------------
270 MEMORY TX
REASON FOR ERROR
E-3) NONAG UP NSWERR LINE FAIL
TTI NCDENR WIRO
ADDRESS (GROUP) RESULT PAGE
89104579427
E-2) BUSY
E-4) NO FACSIMILE CONNECTION
�KDENR
North Carolina DepartMent of Environment and Natural Resources
Division of CORSW Management William G. Ross Jr., Secretary
Michael F. Easley, Governor Charles S. Jones, Director
April 27, 2004
PAX; 910-457-9427
2 Pages
State Port Pilot
Legal Advertisement Section
Post Office Box 10548
Southport, North Carolina 28461
Re: Public Notice - SPLP Properties, LLC
Tear Sir: '
Please publish the attached Notice in the Wednesday, May 5, 2004, issue.
The State Office of Budget and Management requires an original Affidavit of Publicationprior to payment
for newspaper advertising. Please send the affidavit, an original copy of the published notice, and an original
invoice to Jaye Poole, Division of Coastal Management, 1638 Mail Service Center, Raleigh, North Carolina
27699-1638,

© �
RUMNR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
April 27, 2004
FAX: [phone]
2 Pages
State Port Pilot
Legal Advertisement Section
Post Office Box 10548
Southport, North Carolina 28461
Re: Public Notice - SFLP Properties, LLC
Dear Sir:
Please publish the attached Notice in the Wednesday, May 5, 2004, issue.
The State Office of Budget and Management requires an original Affidavit of Publication prior to payment
for newspaper advertising. Please send the affidavit, an original copy of the published notice, and an original
invoice to Jaye Poole, Division of Coastal Management, 1638 Mail Service Center, Raleigh, North Carolina
27699-1638.
Thank you for your assistance in this matter. If you should have any questions, please contact me at our
Wilmington office.
Enclosure
cc: File Copy
I:mda
Sinc ely,
Painter
Coastal Management Secretary
127 Cardinal Drive Extension, Wilmington, North Carolina 28405-3845
Phone: [phone]\Fax: [phone] \ Internet: http://dcm2.enr.state.nc.us
An Equal Opportunity \ Affirmative Action Employer - 50% Recycled \t 0% Post Consumer Paper

CAMA PERMIT NOTICE
Pursuant to NCGS 113A-119(b), the North Carolina Division of Coastal Management,
an agency authorized to issue CAMA permits in areas of environmental concern, hereby gives
NOTICE that on April 27, 2004, SFLP Properties, LLC applied for a CAMA permit to
construct a single family, residence on pilings at 514 Caswell Beach Road, Caswell Beach,
Brunswick County .
The application may be inspected at the address below. Public comments received by
May 13, 2004, will be considered. Later comments will be accepted and considered up to the
time of permit decision. Project modifications may occur based on further review and
comments. Notice of the permit decision in this matter will be provided upon written request.
Caroline Bellis
Field Representative
Division of Coastal Management
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
Phone: [phone]

AEC HAZARD NOTICE
Project Is In An: Ocean Erodible Area c High Hazard Flood Area _ Inlet Hazard Area
Date Lot Was Platted: Z_4W, /o0/)b'
This notice is intended to make you, the applicant, aware
of the special risks and conditions associated with
development in this area, which is subject to natural
hazards such as storms, erosion and currents. The rules of
the Coastal Resources Commission require that you
receive an AEC Hazard Notice and acknowledge that
notice in writing before a permit for development can be
issued.
The Commission's rules onbuilding standards, oceanfront
setbacks and dune alteration are designed to minimize, but
not eliminate, property loss from hazards. By granting
permits, the Coastal Resourcesi
ommission does not
guarantee the safety of the develment and assumes no
liability for future damage to thevelopment.
The best available information, as accepted by the Coastal
Resources Commission, indicates that the annual ocean
erosion rate for the area where your property is located is
2 feet per year.
The rate was established by careful analysis of aerial
photographs of the coastline taken over the past 50 years.
Studies also indicate that the shoreline could move as
much asZaQ feet landward in a major storm.
The flood waters in amajor storm are predicted to beabout
lAiL& feet deep in this area.
Preferred oceanfront protection measures are beach
nourishment and relocation of threatened structures.
Hard erosion control structures such as bulkheads,
seawalls, revetments, groins, jetties and breakwaters are
prohibited. Temporary devices, including sand bags, may
be allowed under certain conditions.
This structure shall be relocated or dismantled within two
years of becoming imminently threatened.
The applicant must acknowledge this information and
requirements by signing this notice in the below space.
Without the proper signature, the application will not be
complete.
r
4-cl -04
Date
SPECIAL NOTE: This hazard notice is required for
development in areas subject to sudden and massive
storms and erosion. Permits issued for development in this
area expire on December 31 of the third year following the
year in which the permit was issued. Shortly before work
begins on the project site, the Local Permit Officer will
determine the vegetation line and setback distance at your
site. If the property has seen little change and the proposed
development can still meet the setback requirement, the
LPO will inform you that you may begin work. It is impor-
tant that you check with the LPO before the permit expires
for official approval to continue the work after the permit
has expired. Generally, if foundation pilings have been
placed and substantial progress is continuing, permit
renewal may not be necessary. If substantial progress has
not been made, the permit must be renewed and a new
setback line established. It is unlawful to continue work
after permit expiration without this approval.
For more information, contact:
(,G2s-o" &�
Local Permit Officer
Address
lr )mil rv, 1_-P1G4V-vt NC Z$4oS
Local
Ito 39 S 3900
Phone
Revised 11193

BEFORE YOU BUILD
Setting Back for Safety: A Guide to Wise Development Along the Oceanfront
When you build along the oceanfront you take a calculated
risk. Natural forces of water and wind collide with tons of
force, even on calm days.
Man-made structures cannot be guaranteed to survive the
force of a hurricane. Long-term erosion (or barrier island
migration) may take from two to ten feet of the beach each
year and, sooner or later, will threaten oceanfront struc-
tures. These are the facts of life for oceanfront property
owners.
The Coastal Resources Commission (CRC) has adopted
rules for building along the oceanfront. The rules are in-
tended to avoid an unreasonable risk to life and property
and to limit public and private losses from storms and
long-term erosion. These rules lessen but do not eliminate
the element of risk in oceanfront development.
As you consider building along the oceanfront, the CRC
wants you to understand the rules and the risks. With this
knowledge you can make a more informed decision about
where and how to build in the coastal area.
The Rules
When you build along the oceanfront, coastal manage-
ment rules require that the structure be sited to fit safely
into the beach environment.
Structures along the oceanfront must be behind the frontal
dune, landward of the crest of the primary dune and set
back from the first line of natural stable vegetation a dis-
tance equal to 30 times the annual erosion rate (a minimum
of 60 feet). Large structures (multi -family residential struc-
tures greater than 5,000 square feet and non-residential
structures greater than 5,000 square feet) must be set back
from the first line of natural stable vegetation a distance
equal to 60 times the annual erosion rate or 120 feet,
SETBACK I SETBACK �I FIRST LINE OF
STABLE
I�ic
xANNU(AVERAGE AL 30 x NATUAL
(AVERAGE ANNUAL
DOD
VEGETATION
(EROSION I EROSION
IRATE
DOD
IRATE
I
I
ALL
(LARGE (STRUCTURES)
STRURURES) I
PERMITTED --n
STRUCTURE;
ADEQUATE
SETBACK _
whichever is greater. If the erosion rate is greater than 3.5
feet/year, the setback is 30 times the erosion rate plus 105
feet.
The Reasons
The beachfront is an ever -changing landform. The beach
and the dunes are natural "shock absorbers", taking the
beatings of the winds and waves and protecting the inland
areas. By setting back 30 or 60 times the annual long-term
erosion rate; you have a good chance of enjoying the full
life of the structure. At first, it seems very inviting to build
your dream house as close to the beach as possible, but in
five years you could find the dream has become a
nightmare as high tides and storm tides threaten your
investment.
The Exception
The Coastal Resources Commission recognized that these
rules, initially passed in June of 1979, might prove a
hardship for someproperty owners. Therefore, they estab-
lished an exception for lots which cannot meet the setback
requfrement. The exception allows buildings in front of the
setback line if the following conditions apply:
(1) the lot must have been platted as of June 1,1979, and
not capable of being enlarged by combining with adjoining
land under the same ownership, (2) development must be
as far back on the property as possible and in no case less
than 60 feet landward of the vegetation line, (3) no
development can take place on the frontal dune (4) special
construction standards on piling depth and square footage
must be met and (5) all other CAMA, state and local
regulations must be met.
The exception is not available in the Inlet Hazard Area.
To determine eligibility for the exception, the Local Permit
Officer will make these measurements and observations:
required setback from vegetation line
exception setback (maximum feasible)
rear property line setback
max. allowable square footage on lowest floor
lot area as calculated from vegetation line
piling length needed to extend 4 feet below MSL
PRE -PERMIT STRUCTURE; INADEQUATE SETBACK
PRE -STORM BEACH PROFILE
� POST -STORM BEACH PROFILE
ONE YEAR AFTER STORM/BEACH REBUILDING
After the storm, the house on the dune will be gone. The other house has a much better chance of survival.

Square foot calculations for AEC area
House foot print is 42" X 46" including 1" overhang
Driveway is 40.3" X 12"
1932 SgFt
483.6 SgFt
Total House and Driveway Sq. Ft. 2415.6 SgFt

P and by Oa NE Island,
k Island, NC
284&5
April 12, 2004
1955 Trent Way
South Bend, IN 46614
Dear Stephen & Elizabeth Winet:
This letter is to inform you that I have applied for a CAMA permit on property at 514 Caswell
Beach Drive, Caswell Beach, NO. I have enclosed a copy of the permit application and a copy
of the drawing of the proposed project.
If you have any comments on the proposed project, please contact:
Caroline Bellis
CAMA Permit Officer
127 Cardinal Drive Ext.
Wilmington, NO 28405
910-395-3900
Sincerely,
Ronnie L. Pickier
For. SFLP Properties, LLC
Keith A. Wood
POB 540
Greensboro, NO 27401

Swkw. 107 NE 58" St.
Oak Island, NC 28M
Apd 12, 2004
110 Caswell Ave.
Southport, NC 28461
Dear William P. Rabon:
This letter is to inform you that I have applied for a CAMA permit on property at 514 Caswell
Beach Drive, Caswell Beach, NC. I have enclosed a copy of the permit application and a copy
of the drawing of the proposed project
9 you have any comments on the proposed project, please contact
Caroline Beilis
CAMA Permit Officer
127 Cardinal Drive FA
Wilmington, NC 28405
910-395-3900
Sincerely,
Ronnie L. Picider
For. SFLP Properties, LLC
Keith A. Wood
POB 540
Greensboro, NC 27401

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Boney Land Surveyors, Inc.
4922 E Oak Island Dr
Oak Island, NC 28465
910-278-9415
i� REVISED 04-14-04 Site Plar
DRAWN BY D' B---- DATE— L1 _ll-03_---
,
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—
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— � — —
CASWELL BEACH ROAD
FN:SBS123
Boney Land Surveyors, Inc. PROPERTY SURVEY
4922 E Oak Island Dr —FOR—
Oak Island, NC 28465 Stacy & Becky Smothers
910-278-9415 514 Caswell Beach Road
REVISED 04-14-04 Site Plan
DRAWN BY D. B. DATE_ —CAS WELL BEACH—:
CHECKM BY J.B. SCALE 1"-30' Smithville Township
Brunswick Co.,. N.C.

Locality
Permit Number
Ocean Hazard _ Estuarine Shoreline ORW Shoreline _Public Trust Shoreline _Other
(For official use only)
GENERAL INFORMATION
LAND OWNER
City �J3=—State A/C Zip, 2;qCSSZ Phone
AUTHORIZED AGENT
Name
Acicim
City 0,4t =� State &t: Zip ..;?$ 6,! Phone
LOCATION OF PROJECT. (Address, street name and/or directions to site. If not oceanfront, what is the
name of
the adjacent waterbody?)
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) �o e
&Y/Ia6yc< orY/Lrrl2 � -s
SIZE OF LOT/PARCEL: r✓z_©9$ square feet_. eZ- acres
PROPOSED USE: Residential t-' (Single-family 1/ Multi -Family ) Commerical/Industrial
Other
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVI-
RONMENTAL CONCERN (AEC): 0Z �b'k i 6 square feet (includes all floors and roof -covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN
THE COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): 0 sq. ft.
(Calculations include the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios,
etc. that are within the applicable AEC. Attach your calculations with the project drawing.)
Choose the AEC area that applies to your property-
(1) within 75 feet of Normal High Water for the Estuarine Shoreline AEC
(2) within 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Outstanding
Resource Waters
(3) within 30 feet of the Public Trust Shoreline AEC
(Contact your Local Permit Officer if you are not sure which AEC applies to your property)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a
State Stormwater Management Permit issued by the N.C. Division of Water Quality?
YES_ NO X
If yes, list the total built -upon area/impervious surface allowed for your lot or parcel. square feet.
OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA minor
development permit. Asa service we have compiled a list of the kinds of permits that might be required. We suggest you check over the list
with your LPO to determine if any of these apply to your project: Zoning, Drinking Water Well, Septic Tank (or other sanitary waste
treatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA Certification,
Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway, Connection, and others.
STATEMENT OF OWNERSHIP:
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a
person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person
listed as landowner on this application has a significant interest in the real property described therein. This interest can be
described as: (check one)
Jam' an owner or record title. Title is vested in SFLp &ff"fnA0k �llC, see Deed Book
page 96� in the U/t/r1tkA/� — County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County.
_if other interest, such as written contract or lease, explain below or use a separate sheet and attach to this application.
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(1)
(2)
(3)
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I acknowledge that the land owner is aware that the proposed development is planned for an area which may be susceptible to
erosion and/or flooding. I acknowledge that the local permit officer has explained to me the particular hazard problems associ-
ated with this lot. This explanation was accompanied by recommendations concerning stabilization and floodproofing tech-
niques.
PERMISSION TO ENTER ON LAND:
I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents to
enter on the aforementioned lands in connection with evaluating information related to this permit application.
This application includes: general information (this form), a site drawing as described on the back of this application, the
ownership statement, the AEC hazard notice where necessary, a check for $100.00 made payable to the locality, and any infor-
mation as may be provided orally by the applicant. The details of the application as described by these sources are incorporated
without reference in any permit which may be issued. Deviation from these details will constitute a violation of any permit. Any
person developing in an AEC without permit is subject to civil, criminal and administrative action.
Landowner or person authorized to act as his agent for purpose of filing a CAMA permit application.

SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor development
permit. The drawing may be simple and not necessarily to scale. The Local Permit Officer will help you, if
requested.
PHYSICAL DIMENSIONS
Label roads
Label highways ri t-of--ways
Label local setbac lines
— Label any and all structures and driveways currently existing on property
PHYSICAL CHARACTERISTICS
Draw and label mean high water mark
Draw location of on -site wastewater system
If you will be working in the ocean hazard area:
Draw and label dune ridges (note height)
Draw and label toe of dune
Identify and locate first line of stable vegetation
Draw and label setback line under CAMA
Draw and label topographical features (optional)
If you will be working in an estuarine shoreline area:
Draw and label landward limit of AEC
Describe terrain (slope)
DEVELOPMENT PLANS
Y Draw and label areas that will be disturbed
If a house is to be placed on lot, describe location of house
Note size of piling and depth to be placed in ground
Draw and label all areas to be paved or graveled
Describe composition of surface
Note and list fully all trees and vegetation to be removed or relocated
Show landscaping
NOTE TO APPLICANT
Have you:
• completed all blanks and / or indicated if not applicable?
• notified and listed adjacent property owners?
• included your site drawing/
• signed both application and statement of ownership?
• enclosed the $100.00 fee?
• completed an AEC Hazard Notice, if necessary?
FOR STAFF USE
Site Notice Posted Final Inspection Fee Received
Site Inspections
Date of Action: Issued Exempted
Denied Appeal Deadline (20 days)
QFt°"�L41 APPLICATION FOR
CAMA MINOR
DEVELOPMENT
PERMIT
In 1974, the North Carolina General Assembly passed the Coastal Area
Management Act and set the stage for guiding development in fragile
and productive areas that border the state's sounds and oceanfront. Along
with requiring special care by those who build and develop, the General
Assembly directed the Coastal Resources Commission (CRC) to imple-
ment clear regulations that minimize the burden on the applicant.
This application for a minor development permit under CAMA is part
of the Commission's effort to meet the spirit and intent of the General
Assembly. It has been designed to be straightforward and require no
more time or effort necessary from the applicant. Please go over this
folder with the Local Permit Officer (LPO) for the locality in which you
plan to build to be certain that you understand whatinformation he or
she needs.
Under CAMA regulations, the minor permit is to be issued within 25
days once a complete application is in hand. Often less time is needed if
the project is simple. The process generally takes about 18 days. You
• a t can speed the approval process by making certain that your application
is complete and signed, that your drawing meets the specifications given
inside and that your application fee is attached.
Other permits are sometimes required for development in the coastal
area. While these are not CAMA-related, we urge you to check with the
Local Permit Officer to determine which of these you may need. A
listing is included on page 2 of this folder.
We appreciate your cooperation with the North Carolina Coastal Man-
agement Program and your willingness to build in a way that protects
the resources of our beautiful and productive coast.
Coastal Resources Commission
Division of Coastal Management
Revised 3/2003